IMM01+Azacitidine VS Placebo +Azacitidine in Patients With Newly Diagnosed Chronic Myelomonocytic Leukemia (CMML1-2)

NCT ID: NCT06647862

Last Updated: 2025-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-11

Study Completion Date

2029-10-24

Brief Summary

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This study is a randomized, controlled, double-blind, multicenter, phase Ⅲ clinical study to evaluate the efficacy of IMM01(timdarpacept) in combination with azacitidine versus placebo in combination with azacitidine in patients with newly diagnosed chronic leukemia monocytic (CMML1-2).Primary endpoint are Complete remission rate and Overall survival.

Detailed Description

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Conditions

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Chronic Myelomonocytic Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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IMM01 in combination with azacitidine

One treatment cycle consists of 4 weeks (28 days). IMM01(timdarpacept) will be administered once weekly, and azacitidine will be administered from Day 1 to Day 7 of each cycle.

Group Type EXPERIMENTAL

IMM01

Intervention Type DRUG

IV infusion

Azacitidine

Intervention Type DRUG

subcutaneous injection

placebo in combination with azacitidine

One treatment cycle consists of 4 weeks (28 days). Placebo will be administered once weekly, and azacitidine will be administered on days 1-7 of each cycle.

Group Type PLACEBO_COMPARATOR

Azacitidine

Intervention Type DRUG

subcutaneous injection

Placebo

Intervention Type DRUG

IV infusion

Interventions

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IMM01

IV infusion

Intervention Type DRUG

Azacitidine

subcutaneous injection

Intervention Type DRUG

Placebo

IV infusion

Intervention Type DRUG

Other Intervention Names

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Timdarpacept

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years old, regardless of gender;
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
* Life expectancy ≥ 12 weeks;
* Patients with CMML diagnosed according to WHO 2016 criteria, including CMML-1 and CMML-2;
* White blood cell count ≤ 13×10⁹/L before the first treatment with the study drug (hydroxyurea and leukapheresis are allowed).
* Patients must be treatment-naïve to any systemic agents for CMML (e.g., azacitidine, decitabine,chemotherapy\<1 cycle, and the washout period should be more than 28 days, which is acceptable.), allogeneic stem cell transplant for CMML. Note: During screening and study participation, subjects may continue oral corticosteroids for diseases other than CMML (e.g. asthma) at a stable daily dose equivalent to ≤ 10 mg prednisone. In addition, supportive care in the form of blood transfusions or growth factors is not considered prior therapy in this case and is permitted prior to and as needed during the study.

Exclusion Criteria

* Previous treatment with anti-CD47 monoclonal antibody/SIRPα fusion protein;
* History of allogeneic stem cell transplant and other organ transplants; Patients who have undergone autologous haematopoietic stem cell transplant;
* Prior diagnosis of: therapy-related Myelodysplastic syndrome / Myeloproliferative neoplasm(MDS/MPN); MDS evolved from a pre-existing Myelodysplastic syndrome / Myeloproliferative neoplasm (MDS/MPN) ;other MDS/MPN including atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN. Patients positive for BCR-ABL fusion genes, PDGFRA, PDGFRB, and FGFR1 rearrangements need to be excluded;
* Current or history of central nervous system (CNS) leukemia, extramedullary leukemia(excluding: Enlarged spleen, enlarged liver, enlarged lymph nodes), or myeloid sarcoma;
* Diagnosis of other malignant neoplasms within 3 years prior to the first dose. Exceptions: a. Radically treated cervical carcinoma in situ or non-melanoma skin cancer,Surgery-cured prostate cancer and papillary thyroid cancer; b. a second primary cancer that has been curatively treated and has no recurrence within three years;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ImmuneOnco Biopharmaceuticals (Shanghai) Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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zhijian xiao, PHD

Role: PRINCIPAL_INVESTIGATOR

Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Hongyan Tong, PHD

Role: PRINCIPAL_INVESTIGATOR

Zhejiang University

Locations

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Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

China-Japan Friendship Hospita

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status NOT_YET_RECRUITING

First Hospital of Lanzhou University

Lanzhou, Gansu, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Guangxi Medical University

Nanning, Gaungxi, China

Site Status RECRUITING

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Shenzhen Second People's Hospital

Shenzhen, Guangdong, China

Site Status NOT_YET_RECRUITING

Zhujiang Hospital of Southern Medical University

Zhujiang, Guangdong, China

Site Status NOT_YET_RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, Guangzhou, China

Site Status RECRUITING

Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status RECRUITING

Affiliated Hospital of Hebei University

Shijiazhuang, Hebei, China

Site Status NOT_YET_RECRUITING

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status NOT_YET_RECRUITING

Harbin First Hospital

Harbin, Heilongjiang, China

Site Status NOT_YET_RECRUITING

First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Henan University of Science and Technology

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Zhongnan Hospital Affiliated to Wuhan University

Wuhan, Hubei, China

Site Status NOT_YET_RECRUITING

Xiangyang Central Hospital

Xiangyang, Hubei, China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status NOT_YET_RECRUITING

Changzhou First People's Hospital

Changzhou, Jiangsu, China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

Zhongda Hospital affiliated to Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status NOT_YET_RECRUITING

Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

Site Status RECRUITING

Jiangsu Subei People's Hospital

Yangzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status NOT_YET_RECRUITING

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

The First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status NOT_YET_RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Shaanxi Provincial People's Hospital

Xi’an, Shanxi, China

Site Status RECRUITING

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status NOT_YET_RECRUITING

Yibin Second People's Hospital

Yibin, Sichuan, China

Site Status RECRUITING

Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College;

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Ningbo First Hospital

Ningbo, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Peking University People's Hospital

Beijing, , China

Site Status NOT_YET_RECRUITING

Tianjin People's Hospital

Tianjin, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yujuan Ma

Role: CONTACT

86-15021694761

Facility Contacts

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weiming Li

Role: primary

fuling Zhou

Role: primary

guolin yuan

Role: primary

yajing xu

Role: primary

zunmin Zhu

Role: primary

haiping Yang

Role: primary

xiaoyu zhu

Role: primary

zhenling li

Role: primary

li wang

Role: primary

bei liu

Role: primary

zhenfang liu

Role: primary

dan xu

Role: primary

xin du

Role: primary

chaoyang Song

Role: primary

xin Du

Role: primary

jishi wang

Role: primary

hua xue

Role: primary

jinhai Ren

Role: primary

tiejun Gong

Role: primary

lijie Han

Role: primary

hu Zhou

Role: primary

zhiping jiang

Role: backup

weiying gu

Role: primary

wenyi shen

Role: primary

zheng Ge

Role: primary

miao miao

Role: primary

zhenyu li

Role: primary

mei sun

Role: primary

fei Li

Role: primary

hai Lin

Role: primary

wei Yang

Role: primary

xiaojing Yan

Role: primary

qiang song

Role: primary

yi wang

Role: primary

xiaobing huang

Role: primary

shihua huang

Role: primary

Zhijian Xiao, PHD

Role: primary

022-23909184

jianping hao

Role: primary

zeping Zhou

Role: primary

hongyan Tong, PHD

Role: primary

0571-87235589

guifang ouyang

Role: primary

songfu jiang

Role: primary

qian Jiang

Role: primary

xingli Zhao

Role: primary

Other Identifiers

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IMM01-010

Identifier Type: -

Identifier Source: org_study_id

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